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Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs

Kim SH, Song S, Cho HS, Park CY

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and...
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Utility of FDG-PET/CT for the Detection and Characterization of Sternal Wound Infection Following Sternotomy

Hariri H, Tan S, Martineau , Lamarche Y, Carrier M, Finnerty V, Authier S, Harel F, Pelletier-Galarneau M

PURPOSE: FDG-PET/CT has the potential to play an important role in the diagnosis of sternal wound infections (SWI). The purpose of this study was to analyze the diagnostic accuracy of...
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Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery

Schiraldi , Jabbour G, Centofanti P, Giordano S, Abdelnour , Gonzalez M, Raffoul W, di Summa P

Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated...
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Temporary Right Ventricular Assist Device Insertion via Left Thoracotomy after Left Ventricular Assist Device Implantation

Park I, Cho YH, Chung SR, Jeong DS, Sung K, Kim WS, Lee YT

Right heart failure is a relatively common complication after left ventricular assist device (LVAD) implantation. Severe right heart failure can be managed by temporary right ventricular assist device (RVAD) implantation....
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Cervicothoracic Junction Approach using Modified Anterior Approach: J-type Manubriotomy and Low Cervical Incision

Lee J, Paeng SH, Lee WH, Kim ST, Lee KS

Spinal surgery of the anterior aspect of the cervicothoracic junction is difficult and has technological challenges because of the kyphotic alignment of the upper thoracic spine. This approach requires knowledge...
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Pharmacodynamic Analysis of the Influence of Propofol on Left Ventricular Long-Axis Systolic Performance in Cardiac Surgical Patients

Bang JY, Kim S, Choi BM, Kim TY

BACKGROUND: Propofol induced a decline in the left ventricular (LV) systolic performance in non-cardiac surgery. We tested the hypothesis that propofol decreased the LV contractile function by dose dependent manner...
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Complex sternal and rib reconstruction with allogeneic material

Maliska III CM, Archer RL, Tarpley SK, Miller III AS

Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one’s quality-of-life drastically. The technique presented here represents a...
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Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts

Kim SH, Kim HJ, Hwang HY

A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annuloplasty, and coronary artery bypass grafting 12 years previously visited our clinic due to aggravated dyspnea caused by...
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Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

Namkoong M, Hong SB, Kim HW, Jo KH, Kim JY

Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis...
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Anterior Mediastinal Goiter Removed via Median Sternotomy: Short Communication and Literature Review

Suh YJ, Kim LS

The majority of substernal goiters can be retrieved through the neck. However, sternotomy is indicated in roughly 1% to 8% of cases. Herein, we report a case of huge anterior...
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Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection

Lim MH, Je HG, Lee SK

We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without...
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Airway Improvement with Medium-Term Compression Duration after Right Pulmonary Artery Anterior Translocation

Jang WS, Kim JB, Kim JH, Choi HJ

Left main bronchus compression occasionally occurs in patients with cardiac disease. A 19-month-old female patient weighing 6.7 kg was admitted for recurrent pneumonia and desaturation. She had an a trial...
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Mid-Term Results of Minimally Invasive Direct Coronary Artery Bypass Grafting

Seo DH, Kim JS, Park KH, Lim C, Chung SR, Kim DJ

BACKGROUND: Minimally invasive direct coronary artery bypass grafting (MIDCAB) has the advantage of allowing arterial grafting on the left anterior descending artery without a sternotomy incision. We present our single-center...
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Emergency Surgical Management of Traumatic Cardiac Injury in Single Institution for Three Years

Joo S, Ma DS, Jeon YB, Hyun SY

PURPOSE: Thoracic traumas represent 10-15% of all traumas and are responsible for 25% of all trauma mortalities. Traumatic cardiac injury (TCI) is one of the major causes of death in...
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Temporary Closure for Sternotomy in Patient with Massive Transfusion Might Be Lethal

Kim M, Kim J, Kim SJ, Cho HJ

A 58-year-old male visited our emergency room for multiple traumas from explosion. On initial evaluation, hemopneumoperitoneum with liver laceration (grade 4) and colon perforation was identified. Hemopericardium with cardiac tamponade...
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Analysis of Characteristics and Risk Factors of Surgical Site Infection after Coronary Artery Bypass Graft

Kim MH, Jeong JS, Choi SH

BACKGROUND: The purpose of this study was to examine surgical site infection (SSI) characteristics and risk factors in patients undergoing coronary artery bypass graft (CABG) surgery. METHODS: A retrospective observational study...
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Minimally Invasive Cardiac Surgery versus Conventional Median Sternotomy for Atrial Septal Defect Closure

Jung JC, Kim KH

BACKGROUND: Median sternotomy is the standard approach for atrial septal defect (ASD) closure. However, minimally invasive cardiac surgery (MICS) has been introduced at many centers in adult/grown-up congenital heart patients....
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Intravenous Leiomyomatosis with Extension to the Heart Associated with Disseminated Peritoneal Leiomyomatosis

Jung YL, Choi RK, Eom MY, Cho HA, Choi W, Kim DJ, Ham UG

Leiomyomatosis refers to benign smooth muscle cell tumors that often arise from unusual growth patterns and include benign metastasizing leiomyoma, disseminated peritoneal leiomyomatosis, and intravenous leiomyomatosis. Intravenous leiomyomatosis is the...
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Surgical Outcomes of Cardiac Myxoma: Right Minithoracotomy Approach versus Median Sternotomy Approach

Lee HP, Cho WC, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW

BACKGROUND: The standard approach in treating cardiac myxoma is the median full sternotomy. With the evolution of surgical techniques, the right minithoracotomy approach has emerged as an alternative method. Since...
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Single Stage Repair for Aortic Coarctation associated with Intracardiac Defects Using Extra-Anatomic Bypass Graft in Adults

Duvan I, Ates MS, Onuk BE, Bakkaloglu B, Sungur UP, Kurtoglu M, Karagoz YH

BACKGROUND AND OBJECTIVES: Coarctation of the aorta in adulthood is generally associated with other cardiovascular disorders requiring surgical management. An extra anatomic bypass grafting from the ascending to descending aorta...
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